5min chapter

Emergency Medicine Cases cover image

EM Quick Hits 5 Ludwig’s Angina, Transient Monocular Vision Loss, D-dimer for PE Workup in Pregnancy, Pediatric Nasal Foreign Bodies, Trimethoprim Drug Interactions, Airway Management in Cardiac Arrest

Emergency Medicine Cases

CHAPTER

Sceptrin and Trimethoprim: What You Need to Know

Dr. David Yerling: You can kill people with hyperklemia on the basis of adding Sceptrin. He says trimethoprim in the distal nephron is a potassium sparing dioratic. If you've got an older person who's on ACE or ARB and you put them on septra, his risk is about seven-fold higher than if they'd been on moxacillin. The main drugs there are going to be ACE inhibitors, angiotensin receptor blockers, and sphronolactone.

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